Indima ebaluleke kakhulu endleleni yokukhulelwa evamile idlalwa ngokubunjwa kwamanzi eduze kwe-fetus nenani labo elanele. Kunezindlela eziningana zokunquma lezi zimingcele. Inokwethenjelwa kakhulu ukusekwa kwe-amniotic index fluid in cm.
Ukuze udokotela we-ultrasound ahlinzeke ngolwazi olunembile kakhulu mayelana nokutadisha amniotic fluid, imishini yanamuhla ye-ultrasound ifakwe izinhlelo ezikhethekile eziqukethe amatafula wezimiso zamanzi amniotic bese zibala ngokuzenzakalelayo inkomba oyifunayo. Imiphumela yokuhlaziywa okunjalo kubonisa ukuthi ukukhulelwa okufana ne-polyhydramnios noma i- hypochlorism ekukhulelwe .
Ukunqunywa kwesimiso se-amniotic fluid
Idatha edingekayo kufanele ibalwe ukuze inqume ukuthi i-amniotic fluid yanele yini ukubeletha okujwayelekile nokuphelele kwengane. Kunezindlela ezimbili zokuthola umphumela oyifunayo:
- Incazelo enenjongo. Isibeletho sithathwa kuzo zonke izigaba futhi umshini we-ultrasound ubala ngokuzenzakalelayo inkomba.
- Incazelo engezansi. I-Ultrasound nayo isetshenziselwa, kodwa ngenkathi yocwaningo, ama-quadrants angaphezulu kakhulu esibelethweni afingqa, okulingana nenkomba ye-amniotic fluid.
Ithebula le-amniotic fluid index
Izibalo ezitholakala ngenxa yokuhlolwa kwe-ultrasound zifaniswa netafula le-amniotic fluid. Kumele kuqaphele ukuthi idivayisi ngayinye ifakwe inguqulo yayo yetafula, izingxenye zazo ezingahluka kakhulu, noma kunjalo, kukhona okukhethwa kukho okungenani noma okuncane. Izinkomba zenkomba ziyisizathu sokusungula izifo ezifana ne-polyhydramnios noma i-hypochlorism. Kodwa-ke, akusikho isiqondiso sokuthatha isinyathelo esinqumayo, ngoba udokotela uzokhipha izici eziningi zezinceku.
Amniotic index fluid ngesonto
Phakathi nesikhathi sonke sokuthwala, i-amniotic fluid ishintsha njalo ukulinganisa kwayo nokulinganisa ngokuqondile ngokulingana kwesikhathi sokubeletha nokukhula kwengane. Ngesonto ngalinye, ivolumu yetshezi iyanda, ngokwesilinganiso, ngama-40-50 ml futhi ingafinyelela ku-1-1.5 amalitha ngaphambi kokubeletha ngokwayo futhi ingase ihle kancane. Kodwa-ke, ukuhlola isikhathi esisodwa semali yamanzi akukwazi ukwethenjwa, ngoba i-fetus ishintsha njalo isikhundla.
Itafula elilingana le-amniotic fluid liqukethe idatha kumthamo ojwayelekile we-amniotic fluid ngayinye yeviki lokugqoka kanye nokuphambene okuvumelekile okuvela emibonweni evamile evunyelwe.
Ukuze ukhulume nge-polyhydramnios yangempela noma i-amniotic ukuntuleka kwamanzi, kuyadingeka ukunquma ukuphambuka okuqondile kwimikhuba evumelekile evamile engafaneleki kwimingcele yemingcele evumelekile ephezulu. Ngakho-ke, isibonelo, uma inkomba ye-amniotic fluid ye-11 cm ikhona evikini lama-32 lokubeletha, khona-ke asikho isizathu sokukhathazeka. Kodwa ukuba khona komthamo wamanzi onjalo ngeviki lama-22 noma lama-26 kubonisa kakade imali yabo.
Ulwazi mayelana nemingcele yetafula le-amniotic fluid kuye ngokuthi isikhathi sokubeletha sizosiza umama wesikhathi esizayo ukuba aqonde ngokuzimela imiphumela yocwaningo uma engakutholi izincazelo eziphathelene nomzimba wakhe. Ukunganakwa kwemiphumela yophenyo lwe-ultrasound kubhekene nezinkinga endleleni yokuqeda umthwalo, futhi
- ukuphuma kwe-amniotic fluid ngaphambi kwesikhathi;
- inqubo elula yokudiliva;
- i-oksijini yindlala ye-fetus kanye nentuthuko enganele;
- ingcindezi eyengeziwe emthonjeni womlomo;
- ukubola kwe-postpartum, i-rupture yegumbi eliphansi kanye nokunye.
Kumele kucatshangwe ukuthi inani lama-amniotic fluid alincike endleleni yokuphila nokudla komama okhulelwe, ngoba kuyisibonakaliso esingokwemvelo esingama-aboriginal esingavamile ukushintshwa ngezindlela zokwelapha.